MICHAEL WALL

BEND, OR
NPI1033042023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  26-CRM-5444)
Enumeration Date2026-06-08
Last Update Date2026-06-08
Business Address
MICHAEL WALL
401 NE BURNSIDE AVE
BEND, OR 97701-5122
Phone number: 541-797-0098
Mailing Address
MICHAEL WALL
18600 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97267-6723
Phone number: 503-946-3267
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